Accounts Receivable Specialist

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Position Summary

The Accounts Receivable Specialist effectively interacts with all levels of the finance, admissions, medical records, and clinical departments. This position requires the skills to work and cultivate teamwork on various tasks and projects. Strong analytical, time management, organizational, problem-solving, and decision-making skills are essential to ensure timely claim payment. Must have working knowledge of Medicare, Medicaid, and commercial insurance plans.

Pay

\$23.47 Hourly. Full-Time Non-Exempt Position, 40 Hours Weekly/80 Hours Bi-Weekly

Schedule

Monday- Friday 8:30 AM- 5:00 PM

Location

Will work at the Hospice of Southern Illinois Administration Office located at 305 South Illinois Street, Belleville, IL 62220. This is not a remote position.

Benefits and Insurance

Paid-time off, extended illness benefits, health, dental, vision, life insurance, short-term & long-term disability insurance, 403(b) retirement plan. For additional details, please see [hospice.org/careers](http://www.hospice.org/careers).

Essential Functions of the Accounts Receivable Specialist Position

- Demonstrates understanding of patient billing process in Suncoast and Great Plains, including the reconciliation process. - Proves ability to file claims electronically and manually based on financial class submission requirements in a timely manner. - Exhibits ability to understand and post payments/adjustments timely and accurately to patient accounts. - Demonstrates competency in completing timely and accurate general ledger journal entries. - Effectively manages all aspects related to timely filing of claims, including correcting claim errors and resubmissions. - Maintains constant working knowledge related to Medicare and Medicaid programs and regulations. - Assist with ongoing Accounts Receivable review process, including identification and resolution of specific claim issues. - Diligent follow-up with insurance companies that can lead to positive outcomes for Hospice of Southern Illinois. - Displays understanding of the authorization processes for all payor sources. - Comprehends the Nursing Home Medicaid Room and Board billing process including identification and rectifying of potential problematic claims. - Knowledge of Medicare and Direct Pay billing process, including the billing of deductibles and co-pays. This process may require interaction with patients and/or families. - Demonstrates vast understanding of benefit periods and certification/recertification processes, including the monitoring and submission of re-certifications, when appropriate. - Effectively displays competency to create all Medicare Notice of Elections (81As) and terminations (81Bs) in Suncoast Solutions and CMS Direct Data Entry System and/or submission of Medicaid Notices of Elections (1592s) and terminations (1594s) to Illinois Medicaid and/or Medicaid HMOs. - Demonstrates the ability to execute batch files in DDE (Direct Data Entry), Medi (Illinois Medicaid), Medicaid HMO portals, and Claims Management Pro. - Demonstrates the ability to execute batch files in DDE (Direct Data Entry), Medi (Illinois Medicaid), Medicaid HMO portals, and Claims Management Pro. {=html}